2015
DOI: 10.1117/1.jbo.20.12.125004
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Finesse of transparent tissue cutting by ultrafast lasers at various wavelengths

Abstract: Abstract. Transparent ocular tissues, such as the cornea and crystalline lens, can be ablated or dissected using short-pulse lasers. In refractive and cataract surgeries, the cornea, lens, and lens capsule can be cut by producing dielectric breakdown in the focus of a near-infrared (IR) femtosecond laser, which results in explosive vaporization of the interstitial water, causing mechanical rupture of the surrounding tissue. Here, we compare the texture of edges of lens capsule cut by femtosecond lasers with IR… Show more

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Cited by 16 publications
(8 citation statements)
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“…The threshold energy required to generate seed electrons for LIOB formation exclusively via multiphoton absorption is approximately 10 13 W/cm 2 and cannot be safely induced in human skin [26,27]. The thermal initiation pathway assisted by chromophores results in a lower irradiance threshold, which lowers the irradiance threshold by 20 times [27], whereas ubiquitous water lowers the irradiance threshold by 10-100 times [27,28]. Therefore, transparent and weakly absorbing tissues such as the cornea mainly rely on the multiphoton-initiated optical breakdown, whereas highly absorbing tissues such as dark skin require a much lower energy threshold [24,29].…”
Section: Discussionmentioning
confidence: 99%
“…The threshold energy required to generate seed electrons for LIOB formation exclusively via multiphoton absorption is approximately 10 13 W/cm 2 and cannot be safely induced in human skin [26,27]. The thermal initiation pathway assisted by chromophores results in a lower irradiance threshold, which lowers the irradiance threshold by 20 times [27], whereas ubiquitous water lowers the irradiance threshold by 10-100 times [27,28]. Therefore, transparent and weakly absorbing tissues such as the cornea mainly rely on the multiphoton-initiated optical breakdown, whereas highly absorbing tissues such as dark skin require a much lower energy threshold [24,29].…”
Section: Discussionmentioning
confidence: 99%
“…For example, the threshold energy for bubble formation in mouse intestine by 355-nm 500-ps pulses focused at NA = 1.2 amounts to only one third of the respective value in water (33 nJ vs 103 nJ) [130]. Threshold measurements with IR and UV fs laser pulses in water with increasing concentration of bovine serum albumin showed that at a concentration of 10mg/ml, the bubble threshold decreased by 40% for 400 nm pulses, compared to only 7% at 800 nm [57,131].…”
Section: Inter-band Energy States and Breakdown Initiationmentioning
confidence: 94%
“…To date, surgery has mostly been performed at 800 nm and 1040 nm, the wavelengths of Titanium:Sapphire lasers and ytterbium-based lasers [6,8,54]. Recently UV-A pulses have been employed for flap cutting in corneal refractive surgery because the shorter wavelengths provides a better cutting precision due to the shorter plasma length [55][56][57][58]134] Furthermore, the collagen molecules in corneal tissue act as stable centers of reduced excitation energy in UV breakdown that lower the breakdown threshold and minimize mechanical side effects [58]. On the other hand, the wavelengths considerably longer than 1040 nm have been tested for plasma-mediated surgery in strongly scattering tissues such as sclera, skin and brain [59][60][61]63] and in edematous corneas [64].…”
Section: Consequences For Femtosecond Laser Tissue Surgerymentioning
confidence: 99%
“…The laser wavelength was fixed around 780 nm, but because the shock wave is highly non-linear, small variations in the laser wavelength should not play a significant role 29 . A wavelength between 700–1100 nm was used since water and most biological tissues are transparent in that region 20 .…”
Section: Resultsmentioning
confidence: 99%